Organization Active NPI

Mind Body Soul Aligned LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Alamos, NM
National Provider Identifier
1871302836
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND BODY SOUL ALIGNED LLC
Practice address
127 Eastgate Dr Ste B201
Los Alamos, NM 87544-3300
Phone
(505) 381-5301
NPI assigned
Jan 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chelsie Marie Miller, MA, LPCC
Title
Owner
Phone
(505) 381-5301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

127 Eastgate Dr Ste B201
Los Alamos, NM 87544-3300

Mailing address

300 Joya Loop
White Rock, NM 87547-3707
Phone (605) 360-8918

National Provider Directory

National Provider Directory

Locations

127 Eastgate Dr
Ste B201
Los Alamos, NM 87544
Phone (505) 381-5301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1871302836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JOYA LOOP",
            "city": "WHITE ROCK",
            "state": "NM",
            "postal_code": "875473707",
            "telephone_number": "605-360-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EASTGATE DR STE B201",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443300",
            "telephone_number": "505-381-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SOUL ALIGNED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHELSIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-381-5301",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.